Individual
JONATHAN C GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
18525 HIGHWAY 22, MAUREPAS, LA 70449-3015
(225) 267-4340
Mailing address
22840 ALEX WILLIE RD, LIVINGSTON, LA 70754-5250
(225) 290-1536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023907
LA
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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